Startup Business Questionnaire
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
First Financial Rep
Please Select
Bill Formica
Greg Pinciotti
Carolyn Streilein
Mike Formica
Bob Bruck
None of the above
Applicant's Full Name
*
First Name
Last Name
Applicant Business Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Why do you want to start the business?
*
What kind of industry related experience do you have and for how long?
*
What kind of management experience do you have?
*
How will you establish a customer base?
*
What kind of competition will you have and how will you set yourself aside from the competition?
*
How will this equipment help your business?
*
What other equipment do you plan to purchase to coincide with the startup of this business?
*
How do you plan to pay for this equipment? (e.g., financing with whom at what terms, paying with cash from what source, etc.)
*
Will you finance a building, rent space, or operate from your home?
*
Finance a building
Rent space
Operate from home
Other
What kind of terms do you desire? What can you put down?
Submit Application
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